JOB SUMMARY: Oversees the daily flow of Utilization Review and Discharge Planning on all of the Nursing Units, including the Emergency Department. Assures the team is appropriately assessing patient need for admission, is assigning patients to the appropriate level of care, is giving adequate resources for post-discharge care, is providing adequate clinical information to insurances, and is obtaining authorization for services by payers. EDUCATION & QUALIFICATIONS: 1. Five years recent Acute Care Case Management/Utilization Review experience 2. Graduate from an accredited school of nursing 3. Current CA RN license 4. Management Experience, preferred 5. Ability to work independently and function effectively as a member of an interdisciplinary team. 6. Excellent oral and written communication skills 7. Meticulous attention to detail and follow-up 8. Current AHA BLS for Healthcare Provider Certification required. 9. Basic Computer skills required.
ValleyCare Health System - 20 months ago
copy to clipboard -